The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea
Purpose The objective of this study was to determine the effects of coronavirus disease 2019 (COVID-19) on the volume of trauma patients, the number of orthopedic trauma operations, and the severity of injuries. We also investigated the correlations between social distancing and these variables. Met...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2022-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0078.pdf |
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| author | Wonseok Choi Hanju Kim Whee Sung Son Seungyeob Sakong Jun-Min Cho Nak-Jun Choi Tae-Wook Noh Namryeol Kim Jae-Woo Cho Jong-Keon Oh |
| author_facet | Wonseok Choi Hanju Kim Whee Sung Son Seungyeob Sakong Jun-Min Cho Nak-Jun Choi Tae-Wook Noh Namryeol Kim Jae-Woo Cho Jong-Keon Oh |
| author_sort | Wonseok Choi |
| collection | DOAJ |
| description | Purpose The objective of this study was to determine the effects of coronavirus disease 2019 (COVID-19) on the volume of trauma patients, the number of orthopedic trauma operations, and the severity of injuries. We also investigated the correlations between social distancing and these variables. Methods This was a retrospective review of trauma patient cases at a single focused training center for trauma in Korea from January 2017 to April 2021. The COVID-19 group included patients treated from January 1 to April 30 in 2020 and 2021, and the control group included patients treated during the same months from 2017 to 2019. The volume of trauma patients according to the level of social distancing was evaluated among patients treated from August 2, 2020 to November 23, 2020. Results The study included 3,032 patients who presented to the emergency department with traumatic injuries from January to April 2017 to 2021. The average number of patients was 646.7 and 546.0 in the control and COVID-19 groups, respectively. The percentage of patients injured in traffic accidents (TAs) decreased from 25.0% to 18.2% (P<0.0001). The proportions of in-car TAs and pedestrian TAs also decreased from 6.7% and 10.8% to 3.5% and 6.0%, respectively (P=0.0002 and P<0.0001). The percentage of bicycle TAs increased from 2.4% to 4.0% (P=0.0128). The proportion of patients with an Injury Severity Score above 15 and the mortality rate did not change significantly. As the level of social distancing increased, the number of trauma patients and the number of trauma injuries from TAs decreased. The number of orthopedic trauma operations also depended on the social distancing level. Conclusions The number of trauma patients presenting to the emergency department decreased during the COVID-19 period. The volume of trauma patients and orthopedic trauma operations decreased as the social distance level increased. |
| format | Article |
| id | doaj-art-8cf7eb6db64a4c7188af5a7c741d7996 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-8cf7eb6db64a4c7188af5a7c741d79962025-01-16T04:54:41ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-09-0135319520110.20408/jti.2021.00781100The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in KoreaWonseok Choi0Hanju Kim1Whee Sung Son2Seungyeob Sakong3Jun-Min Cho4Nak-Jun Choi5Tae-Wook Noh6Namryeol Kim7Jae-Woo Cho8Jong-Keon Oh9 Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Trauma Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Trauma Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Trauma Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Trauma Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, KoreaPurpose The objective of this study was to determine the effects of coronavirus disease 2019 (COVID-19) on the volume of trauma patients, the number of orthopedic trauma operations, and the severity of injuries. We also investigated the correlations between social distancing and these variables. Methods This was a retrospective review of trauma patient cases at a single focused training center for trauma in Korea from January 2017 to April 2021. The COVID-19 group included patients treated from January 1 to April 30 in 2020 and 2021, and the control group included patients treated during the same months from 2017 to 2019. The volume of trauma patients according to the level of social distancing was evaluated among patients treated from August 2, 2020 to November 23, 2020. Results The study included 3,032 patients who presented to the emergency department with traumatic injuries from January to April 2017 to 2021. The average number of patients was 646.7 and 546.0 in the control and COVID-19 groups, respectively. The percentage of patients injured in traffic accidents (TAs) decreased from 25.0% to 18.2% (P<0.0001). The proportions of in-car TAs and pedestrian TAs also decreased from 6.7% and 10.8% to 3.5% and 6.0%, respectively (P=0.0002 and P<0.0001). The percentage of bicycle TAs increased from 2.4% to 4.0% (P=0.0128). The proportion of patients with an Injury Severity Score above 15 and the mortality rate did not change significantly. As the level of social distancing increased, the number of trauma patients and the number of trauma injuries from TAs decreased. The number of orthopedic trauma operations also depended on the social distancing level. Conclusions The number of trauma patients presenting to the emergency department decreased during the COVID-19 period. The volume of trauma patients and orthopedic trauma operations decreased as the social distance level increased.http://jtraumainj.org/upload/pdf/jti-2021-0078.pdfepidemiologycovid-19traumaincidencephysical distancing |
| spellingShingle | Wonseok Choi Hanju Kim Whee Sung Son Seungyeob Sakong Jun-Min Cho Nak-Jun Choi Tae-Wook Noh Namryeol Kim Jae-Woo Cho Jong-Keon Oh The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea Journal of Trauma and Injury epidemiology covid-19 trauma incidence physical distancing |
| title | The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea |
| title_full | The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea |
| title_fullStr | The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea |
| title_full_unstemmed | The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea |
| title_short | The impact of COVID-19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in Korea |
| title_sort | impact of covid 19 on trauma patients and orthopedic trauma operations at a single focused training center for trauma in korea |
| topic | epidemiology covid-19 trauma incidence physical distancing |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0078.pdf |
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